| NPI | 1023394947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EDWARD GIBBONS Manager 401-769-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI DEN03137) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |